Clipping Versus Coiling in the Management of Posterior Communicating Artery Aneurysms with Third Nerve Palsy: A Systematic Review and Meta-Analysis

Gaberel, Thomas; Borha, Alin; Palma, Camille Di; Emery, Évelyne

doi:10.1016/j.wneu.2015.09.026

Cited by 55 publications

(28 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The degree of initial nerve palsy, the size of aneurysm, time, and type of intervention may influence the outcome. [3] The present case supports that cranial nerve palsy may occur purely due to cisternal hemorrhage away from the ruptured aneurysm. The cisternal blood usually get resolves with time so also the vasospasm involving the arterial supply to the brainstem.…”

supporting

confidence: 80%

“…[2] The oculomotor nerve palsy has variable outcome with clipping and coiling and at times, the recovery may not be complete. [23] Lower motor neuron type facial nerve involvement found with anterior inferior cerebellar artery and vertebral artery-posterior inferior cerebellar artery aneurysm. Cases of nonaneurismal perimesencephalic cistern hematoma presenting with third nerve palsy have also been reported.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Headache, Facial Palsy, and Diplopia: An Unusual Presentation of Ruptured Distal Anterior Cerebral Artery Aneurysm

Sahoo

Srivastava

2017

Journal of Neurosciences in Rural Practice

View full text Add to dashboard Cite

supporting

confidence: 80%

mentioning

confidence: 99%

Headache, Facial Palsy, and Diplopia: An Unusual Presentation of Ruptured Distal Anterior Cerebral Artery Aneurysm

Sahoo

Srivastava

2017

Journal of Neurosciences in Rural Practice

View full text Add to dashboard Cite

“…Послеоперационная летальность составила 4 (0,25%) из 1621 оперированного, что соответствует данным литературы (0,25-0,27%) [11,12].…”

Section: Discussionunclassified

Principles of surgical treatment for patients with asymptomatic aneurysms and cerebral aneurysms in the cold period after spontaneous intracranial hemorrhages

et al. 2018

View full text Add to dashboard Cite

Surgical treatment of patients with cerebral aneurysms still remains one of the most important issues of cerebrovascular neurosurgery, which is associated with both complexity of treatment and risks posed by the disease. The purpose of this publication is to discuss the recommendations and algorithms adopted at the Neurosurgical Institute for choosing surgical treatment of patients with single and multiple intracranial aneurysms based on the clinical course of disease and anatomical morphological classifications of aneurysms. The study was based on a large clinical material: we analyzed treatment outcomes in 1,621 patients (2009-2017); of these, 966 (59.5%) patients were operated on using microsurgical techniques, and 655 (40.4%) patients underwent endovascular surgery. Surgical treatment of patients with cerebral aneurysms has been performed in close cooperation between two vascular (microsurgical and endovasal) departments, using the latest technical innovations.

show abstract

“…For ophthalmic nerve palsies, the authors reported 60% improvement after flow diversion compared with 69% for surgical clipping and 46% for coil embolisation. However, a meta-analysis comparing clipping with coiling in terms of recovery from oculomotor palsy found a benefit to clipping for ruptured aneurysms specifically (88% vs 56%, respectively; OR 5.1 (95% CI 1.08 to 25.1)) 38. It is important to consider aneurysm composition when deciding on a treatment modality.…”

Section: Illustrative Case Scenariosmentioning

confidence: 99%

Contemporary endovascular and open aneurysm treatment in the era of flow diversion

Mazur

Taussky

Park

et al. 2017

J Neurol Neurosurg Psychiatry

View full text Add to dashboard Cite

Clinical outcomes have improved considerably over the last decade for patients with ruptured and unruptured aneurysms. Modern endovascular techniques, such as flow diversion, are associated with high aneurysm occlusion rates and have become a popular treatment modality for many types of aneurysms. However, the safety and effectiveness of flow diversion has not yet been established in trials comparing it with traditional aneurysm treatments. Moreover, there are some types of aneurysms that may not be appropriate for endovascular coiling, such as wide-necked aneurysms located at branch points of major vessels, large saccular aneurysms with multiple efferent arteries, dolichoectatic aneurysms, large aneurysms with mass effect, when there are technical complications with endovascular treatment, when patients cannot tolerate or have contraindications to antiplatelet therapy or in the setting of a subarachnoid haemorrhage. For these cases, open cerebrovascular surgery remains important. This review provides a discussion on the current trends and evidence for both flow diversion and open cerebrovascular surgery for complex aneurysms that may not be suitable for coiling. We emphasise a continued important role for surgical treatment in certain situations.

show abstract

Clipping Versus Coiling in the Management of Posterior Communicating Artery Aneurysms with Third Nerve Palsy: A Systematic Review and Meta-Analysis

Cited by 55 publications

References 33 publications

Headache, Facial Palsy, and Diplopia: An Unusual Presentation of Ruptured Distal Anterior Cerebral Artery Aneurysm

Headache, Facial Palsy, and Diplopia: An Unusual Presentation of Ruptured Distal Anterior Cerebral Artery Aneurysm

Principles of surgical treatment for patients with asymptomatic aneurysms and cerebral aneurysms in the cold period after spontaneous intracranial hemorrhages

Contemporary endovascular and open aneurysm treatment in the era of flow diversion

Contact Info

Product

Resources

About